1538173281 NPI number — ALABAMA INTERNAL MEDICINE PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538173281 NPI number — ALABAMA INTERNAL MEDICINE PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALABAMA INTERNAL MEDICINE PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538173281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
48 MEDICAL PARK DR E
Provider Second Line Business Mailing Address:
SUITE 356
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35235-3400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-838-3200
Provider Business Mailing Address Fax Number:
205-838-6981

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3536 VANN RD # B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35235-3207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-838-3200
Provider Business Practice Location Address Fax Number:
205-838-6981
Provider Enumeration Date:
07/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HAND
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
205-838-3200

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1700890233 . This is a "DR. KULBACK INDIVIDUAL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51516833 . This is a "STEPHEN JACKSON M.D. BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51528670 . This is a "LORI LYNN D.O. BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051556109 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1881865103 . This is a "INDIVIDUAL NPI FOR DR. GILBERT FRANKLIN DOUGLAS IV" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: P00274219 . This is a "NEW RR MEDICARE INDIVIDUAL PTAN 5/9/08 DR. LORI LYNN" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1972517472 . This is a "DR. LYNN INDIVIDUAL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1790799211 . This is a "DR. JACKSON INDIVIDUAL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265604227 . This is a "INDIVIDUAL NPI FOR DR. HERNANDO CARTER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: P00004569 . This is a "DR. JACISON INDIVIDUAL RR MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 529913030 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051553469 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110245852 . This is a "DR. KULBACK INDIVIDUAL RR MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51512225 . This is a "STEVEN KULBACK M.D. BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51516833 . This is a "DR. JACKSON BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: CK7413 . This is a "RR MCR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00167784 . This is a "DR. LYNN INDIVIDUAL RR MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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